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Medical Forum / General / Nutrition / February 2005

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The Hobgoblin of the Net - 11 Feb 2005 02:24 GMT
Since April 2004 my wife has been recovering from a bedsore wound.  A nurse
advised her to use a liquid protein supplement such as "Ensure." My wife
soon found Ensure undrinkable and switched to "Boost."

From the label on the bottle, Boost appears to consist mainly of water,
corn syrup, and oil, with casein added to supply the protein it promises.
My wife finds Boost unpalatable too, and drinks half a serving at a time,
much adulterated with milk and water.

Can Boost really be effective?  The list of ingredients suggests that it
is little more than a McPseudo-milkshake.  It is sold in heavy single-
serving bottles and is expensive.  Her doctor has told her to go on taking
it--perhaps for the placebo effect.  She eats a well-rounded diet, though
she is fonder of eggs and cheese than is good for her cholesterol level.

-:-
    "Hey!  This shake's no good!"

    "Yeah!  It's like cement!"

    "Well, that's the way it comes out of the machine."

                --Flaming Carrot Comics

Signature

Col. G. L. Sicherman
colonel@mail.monmouth.com

Ken - 12 Feb 2005 04:37 GMT
I bought a can for a diabetic family member who was hospitalized
and wanted a change to the hospital fare.  After she threw up,
I tried a bit of the stuff and almost threw up too.  How anyone
would be able to drink such a horrible brew, or how anyone can
possibly manufacture such a repulsively sweet goo is beyond me.

On top of it, it was supposed to be compatible for diabetics, and the
first several ingredients (other than water) were various forms of sugar!
After looking at the label of "Ensure" and similar generic clones, they
all seem to have close to the same disgusting ingredients as "Boost."
I'm convinced they feed that crap to the elderly to kill them off quicker.

> Since April 2004 my wife has been recovering from a bedsore wound.  A nurse
> advised her to use a liquid protein supplement such as "Ensure." My wife
[quoted text clipped - 23 lines]
> Col. G. L. Sicherman
> colonel@mail.monmouth.com
John Que - 13 Feb 2005 08:14 GMT
Late in life, anorexia can be a problem due
to medical problems, cancer, cancer TX, or
other meds. Thus the products fill a niche.
Could they be designed better, yes. And
yes I muttered thoughts similar to
yours under my breath, which
you've just posted for "all" to see. :-)

> I bought a can for a diabetic family member who was hospitalized
> and wanted a change to the hospital fare.  After she threw up,
[quoted text clipped - 36 lines]
> > Col. G. L. Sicherman
> > colonel@mail.monmouth.com
Robert - 13 Feb 2005 09:03 GMT
> I bought a can for a diabetic family member who was hospitalized
> and wanted a change to the hospital fare.  After she threw up,
[quoted text clipped - 4 lines]
> On top of it, it was supposed to be compatible for diabetics, and the
> first several ingredients (other than water) were various forms of sugar!

Anybody would know better than to give Ensure to a diabetic I guess except
you.  The product for diabetics is not called Ensure.
Yes Ensure has sugar and it is intended for those who have trouble digesting
normal food or unable to eat at all. It is a complete meal and is used in
tube feeding. It is concentrated for that reason.

> After looking at the label of "Ensure" and similar generic clones, they
> all seem to have close to the same disgusting ingredients as "Boost."
> I'm convinced they feed that crap to the elderly to kill them off quicker.

If you get a stroke and are unable  to swallow then what are you capatable
of eating moron.  Are you going to give them an apple?
Get an education will you.

> > Since April 2004 my wife has been recovering from a bedsore wound.  A
> nurse
[quoted text clipped - 24 lines]
> > Col. G. L. Sicherman
> > colonel@mail.monmouth.com
Piezo Guru - 13 Feb 2005 16:15 GMT
Hey insulting one!  How come Ensure is sold as a drinkable supplement in the
grocery stores?

easy big boy.

> > I bought a can for a diabetic family member who was hospitalized
> > and wanted a change to the hospital fare.  After she threw up,
[quoted text clipped - 51 lines]
> > > Col. G. L. Sicherman
> > > colonel@mail.monmouth.com
Robert - 13 Feb 2005 19:39 GMT
> Hey insulting one!  How come Ensure is sold as a drinkable supplement in the
> grocery stores?

Because they assume people can read the label. It is a concentrated
supplement for people having trouble eating regular food. Glucerna is the
product for diabetics produced by the same company.
It is sold for G tube feeding and people do not even taste the food. These
are home feedings.
As far as calling me the insulting one, I guess when somebody says that it
kills people that isn't insulting?
"I'm convinced they feed that crap to the elderly to kill them off
quicker."

"

> easy big boy.
>
[quoted text clipped - 60 lines]
> > > > Col. G. L. Sicherman
> > > > colonel@mail.monmouth.com
Ken - 13 Feb 2005 17:46 GMT
> "Robert" <RobertJ@hotmail.com> wrote
> Anybody would know better than to give Ensure to a diabetic I guess
> except you. The product for diabetics is not called Ensure.

I did not give "Ensure" to a diabetic, I gave her a can of
"Boost" that was specifically labeled to be formulated for
diabetics.  Get it?

> Yes Ensure has sugar and it is intended for those who have trouble digesting
> normal food or unable to eat at all. It is a complete meal and is used in
[quoted text clipped - 3 lines]
> of eating moron. Are you going to give them an apple?
> Get an education will you.

I have actually dealt with people under those circumstances,
thank you, but managed to formulate liquified meals that were
both nutritious AND palatable.
I'm well aware that these "products" are given to those who have
difficulty eating or swallowing, but this was the first time that I
actually looked at their ingredients, and it was my first TASTE of
what you call a "complete meal used in tube feeding," and it is a
disgrace to sick people to feed them this absolutely obnoxious
concoction.
You would think (not you, you don't know any better) - that a
professionally formulated meal replacement would actually NOT
consist of the exact same sugary junk that a more nutritionally
enlightened society is trying to get away from, or that its taste
wouldn't be so horrible as to make a billy goat puke.

No wonder that those who have to be hospitalized for longer
periods of time are in danger of dying from malnutrition or any
other number of chronic diseases.
Robert - 13 Feb 2005 19:44 GMT
> > "Robert" <RobertJ@hotmail.com> wrote
> > Anybody would know better than to give Ensure to a diabetic I guess
[quoted text clipped - 3 lines]
> "Boost" that was specifically labeled to be formulated for
> diabetics.  Get it?
I am not familiar with Boost and it is not commonly recommended by medical
professionals.
You threw in the reference to Ensure by stating that they are all the same.
I suggest you learn how to read labels.
There are manny people being kept alive through G tube feeding contrary to
your idiotic posting.

> > Yes Ensure has sugar and it is intended for those who have trouble
> digesting
[quoted text clipped - 23 lines]
> periods of time are in danger of dying from malnutrition or any
> other number of chronic diseases.
Alf Christophersen - 13 Feb 2005 22:09 GMT
>I suggest you learn how to read labels.

Most people read the labels afterwards, when realizing they have eaten
something lethal, and are dying:-)
Piezo Guru - 14 Feb 2005 01:19 GMT
How do expect him to read the lables with that damn tube down his throat? He
can't put his head down or the tube breaks.

> >I suggest you learn how to read labels.
>
> Most people read the labels afterwards, when realizing they have eaten
> something lethal, and are dying:-)
Robert - 14 Feb 2005 03:44 GMT
That's for the funny things you two put in..
That's about all contributions you are qualified to make.
I especially enjoyed your silly idiotic remarks on lactose intolerance. This
world would be a real solemn place without fools like you to laugh at.
That's a compliment from me to you and you are welcome.

> How do expect him to read the lables with that damn tube down his throat? He
> can't put his head down or the tube breaks.
[quoted text clipped - 3 lines]
> > Most people read the labels afterwards, when realizing they have eaten
> > something lethal, and are dying:-)
Alf Christophersen - 13 Feb 2005 22:09 GMT
>I have actually dealt with people under those circumstances,
>thank you, but managed to formulate liquified meals that were
>both nutritious AND palatable.

Sounds like a nice example that advertisiers has almost a free market
to sell snake oil, because consumers are not well informed about what
it contain, what it do and in this case, how it tastes.

If people only buy one bucket once in their lifetime, being 5 billion
potential one-time purchasers, they still would do it great.

Understand why Codex alimentarius are needed?? (Probably not because
most people discuss with emotional background, not realistic
background putting things together.)
Robert - 14 Feb 2005 00:48 GMT
> >I have actually dealt with people under those circumstances,
> >thank you, but managed to formulate liquified meals that were
[quoted text clipped - 3 lines]
> to sell snake oil, because consumers are not well informed about what
> it contain, what it do and in this case, how it tastes.
Explain to me how one makes a tastful nutritious meal in a blender? Tell me
about baby food. Are they all tastful?
Is a bolus of fat IV tastful?
My doctor told me that if it tasts good then it probably is bad for you. Put
donuts in a blender and is it tastful? Does something tastful have all the
fat, carbs, protein, vitamins and minerals needed for life or are you simply
making concoctions that taste good?

> If people only buy one bucket once in their lifetime, being 5 billion
> potential one-time purchasers, they still would do it great.

It is a closed market for G tube feeders. Please name me all the hundreds of
manufacturers that provide liguid food that can go through a small diameter
tube. There are no homemade brews there.

> Understand why Codex alimentarius are needed?? (Probably not because
> most people discuss with emotional background, not realistic
> background putting things together.)

Explain to me what products Codex alimentarius can provide to patients with
gastric entero tubes such as in Alzheimer's or ALS or MS or strokes?
Alf Christophersen - 14 Feb 2005 18:36 GMT
>Explain to me how one makes a tastful nutritious meal in a blender? Tell me
>about baby food. Are they all tastful?

Sorry, I cited a wrong chapter.

>Is a bolus of fat IV tastful?

Since my chronic infection arose from chronic teeth root canal
infections, I had to remove all teeth except three in lower jaw. That
ment I had to blend everything that I was going to eat. Not for tube
feeding, but at least to make everything fluid.

Several of the things the blended for me in hospital was quite tasty,
and lot of the things I made for myself was also tasty, but didn't
look so appetizing for others.

Like green salad, tomatoes and paprika blended with quite good amount
of LEAR rape seed oil, some vinegar, a dash of salt, a teaspoon of
curry paste and a teaspoon of some good mustard. Very tasteful.

Other varieties may be made too.

(The first days after recovering the big bang I also used some
preparats meant for tube feeding patients (it was a very narrow escape
from being tube fed myself because I lost almost all muscle protein
and skin fat (and other fatdeposits too.My skin was just paperthin the
first days)
Robert - 14 Feb 2005 00:32 GMT
> > "Robert" <RobertJ@hotmail.com> wrote
> > Anybody would know better than to give Ensure to a diabetic I guess
[quoted text clipped - 22 lines]
> disgrace to sick people to feed them this absolutely obnoxious
> concoction.

Again you are a moron as in tube feeding the fluid is placed into a tube
directly into the stomach. No taste is involved. It is a balanced meal of
fats, protein, carbs, minerals and all vitamins.
You have no idea of what you are talking about. It is the only way to keep
somebody alive.
You can not give enough volume of your home made liquified meals because
they have trouble swallowing in those still taking food that way. IT IS NOT
CONCENTRATED enough to do them any good.

> You would think (not you, you don't know any better) - that a
> professionally formulated meal replacement would actually NOT
> consist of the exact same sugary junk that a more nutritionally
> enlightened society is trying to get away from, or that its taste
> wouldn't be so horrible as to make a billy goat puke.

The main energy source of the cell is glucose. Learn some biochemistry and
go to school. Nutritionally enlightened? People are starving to death moron
which is why they need a high concentration of carbs etc. They can not eat a
normal diet. You are lucky to get one teaspoon full of liquid by mouth and
you want to dilute it to a gallon so it doesnt' taste too sweet. You are
equating somebody who has type II diabetes because they eat like pigs and
take high carb drinks to somebody who is starving.
Get a clue.

> No wonder that those who have to be hospitalized for longer
> periods of time are in danger of dying from malnutrition or any
> other number of chronic diseases.

You never worked in a hospital moron so you have no idea. Try taking care of
a sick person for a change.
You are not talking simply of hospitalized patients but home based people.
Go back and get your Phd in newsgroup crap.
Ken - 14 Feb 2005 20:59 GMT
>"Robert" <RobertJ@hotmail.com> wrote
> Again you are a moron as in tube feeding the fluid is placed into
> a tube directly into the stomach. No taste is involved.

Since it is sold in cans in regular stores, the intended way is
to drink it, not forcing it into the stomach through a tube,
unless that's the way YOU take it so you won't puke.

You obviously are somehow connected with peddling these
products or make a living with it, because no sane person
would ever defend vile stuff like that so vigorously.

> It is a balanced meal of
> fats, protein, carbs, minerals and all vitamins.

So is a rotting cadaver, but it is still better suited
to be consumed by vultures than by humans.

Makes one wonder what kind of depraved mind would
come up with such a sickening list of ingredients.
And adding a few vitamins won't save the day either.

> You have no idea of what you are talking about. It is the only
> way to keep somebody alive.

Only if "alive" is synonymous with "vegetative state."

If someone should survive, it's despite of it, not because of it.

That stuff is a liquified version of what by any standards is
considered the worst form of junk food, which would make most
healthy people chronically sick if they consumed it long enough,
and you are telling me that it is intended to make sick people
healthy?

Give me a break.......!

> You never worked in a hospital moron so you have no idea.
> Try taking care of a sick person for a change.

I have spent half of my life in medical research, and I'm
no stranger to taking care of sick people. That's why I am
appalled how so many other medical professionals blindly
follow a protocol designed as window dressing that appears
to keep the sick and elderly "alive" and "well-fed" in front of
family members, while all along using horrendous formulations
that even the fittest would have a difficult time to survive on.
Robert - 15 Feb 2005 07:17 GMT
> >"Robert" <RobertJ@hotmail.com> wrote
> > Again you are a moron as in tube feeding the fluid is placed into
[quoted text clipped - 3 lines]
> to drink it, not forcing it into the stomach through a tube,
> unless that's the way YOU take it so you won't puke.

The intention is for you to eat real food. There is no need for people who
are able to tolerate real food should eat it. What excuse can you give me
otherwise?

> You obviously are somehow connected with peddling these
> products or make a living with it, because no sane person
> would ever defend vile stuff like that so vigorously.
I am a health care professional and that product is the only one compatible
with liguid feeding devices. You can not grind food and expect it to go into
any feeding tube.
You want something that tastes good then try fried chicken. Try chicken
soup. A product like this is not intended to compete with really tasty food.
Tasty food is rarely nutritious for you.
Are you familiar with the latest recommendations on not giving fruit juices
to infants anymore?
That's what you sound like is a baby crying for his juice.

> > It is a balanced meal of
> > fats, protein, carbs, minerals and all vitamins.
>
> So is a rotting cadaver, but it is still better suited
> to be consumed by vultures than by humans.
You have no idea of what you are talking about. Your only interest seems to
be tasteful food.

> Makes one wonder what kind of depraved mind would
> come up with such a sickening list of ingredients.
> And adding a few vitamins won't save the day either.
Again, it is a balanced food that keeps people alive and people like you
don't really care about that as all you are interested in is taste.
Come up with something better instead of bitching about it.

> > You have no idea of what you are talking about. It is the only
> > way to keep somebody alive.
>
> Only if "alive" is synonymous with "vegetative state."
That's a different question all together. I hope you don't have to
experience your own babble.

> If someone should survive, it's despite of it, not because of it.
>
[quoted text clipped - 3 lines]
> and you are telling me that it is intended to make sick people
> healthy?
It is not intended for healthy people moron. IT is not intended for normal
healthy people. There is no reason why a healthy normal person should eat
that. Understand?
Take a class in nutrition OK.

> Give me a break.......!
>
[quoted text clipped - 8 lines]
> family members, while all along using horrendous formulations
> that even the fittest would have a difficult time to survive on.

It is not intended for normal healthy people moron. Understand?
It is not intended for normal healthy people. Why is that?
Because normal people can eat normal food in any state or quantitiy that
want.
I am appalled at people like yourself who pretend to do research and remove
themselves from taking care of patients.
You have all these great ideas about how to do things but it comes up as a
bunch of crap when one actually tries to practice it.
What you or anyone else cares about keeping "alive" anyone is up to the
person and his family and not a.sholes like you who want and think they have
a right to make decisions for everyone.
Keep on bitching as that is all you can come up with.
Go drink some more juice that tastes good baby.
Ken - 15 Feb 2005 12:49 GMT
>"Robert" <RobertJ@hotmail.com> wrote
> I am a health care professional and that product is the only one compatible
> with liguid feeding devices. You can not grind food and expect it to go into
> any feeding tube.

That has never been an issue.  You keep straying off the subject and
keep repeating the same off-topic nonsense.

I have seen the elderly and sick given this junk over and over again
as a form of meal replacement.  However only recently I had a chance
to not only taste it, but look at the label and familiarize myself with
the ingredients.
Yes, the taste is repugnant, but the more important issue here is
that these products are pushed on the elderly and sick in the disguise
of providing nutritious and life-sustaining support, while in reality they
are nothing more than a donut in a can, and they only worsen many
of the chronic illnesses the targeted population is suffering from.

> Are you familiar with the latest recommendations on not giving
> fruit juices to infants anymore?
> That's what you sound like is a baby crying for his juice.

I'm not only familiar with it, but I'm on record of having made
these recommendations decades ago as part of my research on
simple sugars and their effect on chronic diseases.

> Again, it is a balanced food that keeps people alive and people like you
> don't really care about that as all you are interested in is taste.

No, the issue is that IT IS possible to provide liquified meals that
are both nutritious AND palatable, and these products in question
provide the exact opposite.

> > Only if "alive" is synonymous with "vegetative state."
>
> That's a different question all together. I hope you don't have to
> experience your own babble.

On the contrary, this is precisely the issue at hand.

> It is not intended for healthy people moron. IT is not intended for normal
> healthy people. There is no reason why a healthy normal person should eat
> that. Understand?

I understand it alright.  But do YOU understand it?

The real reason is because it would make a healthy person sick!

So if it makes a healthy person sick, why is it given to the elderly
and sick to supposedly make, or keep them healthy?

> It is not intended for normal healthy people moron. Understand?
> It is not intended for normal healthy people. Why is that?
> Because normal people can eat normal food in any state or quantitiy that
> want.

Judging from your comments, these products and their effects
don't seem to be agreeing with you either...
Robert - 15 Feb 2005 19:15 GMT
> >"Robert" <RobertJ@hotmail.com> wrote
> > I am a health care professional and that product is the only one
[quoted text clipped - 5 lines]
> That has never been an issue.  You keep straying off the subject and
> keep repeating the same off-topic nonsense.

You wouldn't know that because you are not responsible for caring for anyone
that would need to buy it off the shelf from a local store. Not all
insurance provide the food and people buy it themselves and submit the
bills.
These patients are taken care of at home not in a hospital.

> I have seen the elderly and sick given this junk over and over again
> as a form of meal replacement.  However only recently I had a chance
[quoted text clipped - 5 lines]
> are nothing more than a donut in a can, and they only worsen many
> of the chronic illnesses the targeted population is suffering from.
Look at the ingredient of an IV glucose solution moron. Glucose is sweet and
it is a basic sugar necessary for life. It is incredible how stupid your
knoweldge of medicine or even basic physiology is. How much does an IV raise
the glucose level?
Those people are in negative balance with depleted glycogen stores and you
are worried about giving them donuts. Next thing you will be worried about
is their cholesterol.

> > Are you familiar with the latest recommendations on not giving
> > fruit juices to infants anymore?
[quoted text clipped - 3 lines]
> these recommendations decades ago as part of my research on
> simple sugars and their effect on chronic diseases.
Simple sugars taste good don't they? Or does broccoli taste better?

> > Again, it is a balanced food that keeps people alive and people like you
> > don't really care about that as all you are interested in is taste.
>
> No, the issue is that IT IS possible to provide liquified meals that
> are both nutritious AND palatable, and these products in question
> provide the exact opposite.
All you do is talk. Talk is cheap. Try to put those liquified meals into a
feed tube and you can't do it. You don't know what you are talking about.
You have never done it. All you know how to do is talk. Some people are care
givers and must do the work and then you have idiots like yourself who
simply talk.

> > > Only if "alive" is synonymous with "vegetative state."
> >
[quoted text clipped - 10 lines]
>
> The real reason is because it would make a healthy person sick!
With sugar like that it might. A normal person does not need a large
concentrated load of carbs. To make it less concentrated and less sweet the
person would have to drink a gallon of it and that is not likely in someone
who can not swallow. You wouldn't know that.

> So if it makes a healthy person sick, why is it given to the elderly
> and sick to supposedly make, or keep them healthy?
[quoted text clipped - 3 lines]
> > Because normal people can eat normal food in any state or quantitiy that
> > want.
I can't believe such a stupid moronic statement in my life. Give insulin to
a person who has a normal sugar level and you can kill him. Give insulin to
a diabetic and you can save his life. Give any medication to a person who
does not need it and you can end his life. Give potassium to a normal person
and kill him while a potassium IV is given to one who is deficient in K.
Give a concentrated food product to someone who doesn't need it and you have
excess calories and carbs. Give it to someone who has depleted food stores
and save his life.
Your comments are just stupid and ignorant and this coming from a person in
medical research?
I don't buy it.

> Judging from your comments, these products and their effects
> don't seem to be agreeing with you either...
I have tried them and they don't bother me as far as taste.
I only use the vanilla flavor as the strawberry taste too sweet for me. The
chocolate flavor might irritate the stomach and I have switched those
flavors in some tube feeders.
Ken - 16 Feb 2005 00:21 GMT
>"Robert" <RobertJ@hotmail.com> wrote
> Look at the ingredient of an IV glucose solution moron.

Don't really have to.  There is enough entertainment picturing
you with IV lines in one hand, and a can of Ensure in the other,
looking for a victim.
First you were rambling on about tube feeding, now you're into
glucose by IV...

I'd get that ADD checked out, since you keep forever wandering
off the original topic.  Ditching that beloved goo of yours would be
a step in the right direction.  No use wasting any more bandwidth.
Robert - 16 Feb 2005 07:27 GMT
> >"Robert" <RobertJ@hotmail.com> wrote
> > Look at the ingredient of an IV glucose solution moron.
[quoted text clipped - 8 lines]
> off the original topic.  Ditching that beloved goo of yours would be
> a step in the right direction.  No use wasting any more bandwidth.

Tell you what. Why don't you get a real job and work for a living.
Get off your high tower and get a real job.  You have no useful information
to partake on anybody. Gee, it tastes too sweet because of the sugar and
sugar is bad for you. Take a class in logic then we can talk. Glucose is an
essential sugar and carbs are essential. The fact that you can not relate
the GI intake of sugar and the IV placement of sugar doesn't surprise me.
The fact that you don't know how to separate someone starving
physiologically from someone that needs to diet doesn't surprise me either.
Don't forget to bitch again when the new flavor comes out.
 
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